The practical use of the Patient Enablement and Satisfaction Model in nurse-led outpatient cardiac clinics

Abstract

BackgroundThe Patient Enablement and Satisfaction Model (PESM) developed in primary care, theorises the mechanisms through which nurses may impact upon patients’ experience of satisfaction and enablement, enhancing their capacity to manage their health. AimTo evaluate the applicability of the PESM in an ambulatory chronic care setting. MethodsWe applied Corbin and Strauss’ criteria for evaluating the practical value of a conceptual model in diverse clinical settings, to inform our framework analysis of nurses’ perceptions of the applicability of the Model. An education session and resource was provided to nine nurses who worked in four nurse-led outpatient cardiac clinics in an Australian city in July 2017. These same nurses were interviewed before and after implementing The Model in clinical practice. FindingsThe PESM was practical and useable in all four clinics. It aligned with the clinics’ chronic disease self-management aims and was viewed as realistic and flexible in response to patients’ needs. The Model stimulated discussion about scope of practice, identifying differences in education between those with chronic disease management training and those without, and ways to address these gaps. DiscussionUse of the PESM facilitated the provision of a consistent, person-focussed approach to chronic disease management in this study. While the PESM resonates with other chronic disease models, we believe its grounding in patient-centred nursing research enhances its natural fit in nurse-led clinics. ConclusionThe PESM and accompanying education resource provides a concrete knowledge translation tool to support evidence-based chronic disease management practice in outpatient cardiology clinics.